NPI | 1407639826 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 35393) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VT 144.0134267) |
Enumeration Date | 2023-08-17 |
Last Update Date | 2023-08-17 |